Spinal stenosis - Revision history

Elcatracho: /* Clinical Features */

2021-02-06T00:32:50Z

Clinical Features

← Revisión anterior		Revisión del 00:32 6 feb 2021
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	*Pain relieved with forward flexion (walking uphill)		*Pain relieved with forward flexion (walking uphill)
	*Pain worse with extension (walking downhill)		*Pain worse with extension (walking downhill)
			**Also known as "neurogenic claudication" as pain can radiate down the leg and is worse with exertion (although not true [[claudication]])

	==Differential Diagnosis==		==Differential Diagnosis==

2019-10-03T15:53:19Z

← Revisión anterior		Revisión del 15:53 3 oct 2019
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	==Clinical Features==		==Clinical Features==
	*~~Low~~ back pain that gets progressively worse over time		*[[Lower back pain]] that gets progressively worse over time
	*Pain relieved with forward flexion (walking uphill)		*Pain relieved with forward flexion (walking uphill)
	*Pain worse with extension (walking downhill)		*Pain worse with extension (walking downhill)

2017-10-30T23:48:00Z

← Revisión anterior		Revisión del 23:48 30 oct 2017
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	==Disposition==		==Disposition==
	*If no [[cauda equina]] and pain controlled ~~-->~~ outpatient		*If no [[cauda equina]] and pain controlled → outpatient
	*As outpatient, can consider referral for decompressive laminectomy for severe persistent pain		*As outpatient, can consider referral for decompressive laminectomy for severe persistent pain

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	==References==		==References==
	<references/>		<references/>

			[[Category:Neurology]]
			[[Category:Surgery]]

2017-10-29T05:06:40Z

← Revisión anterior		Revisión del 05:06 29 oct 2017
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	==Background==		==Background==
	*Low back pain that gets progressively worse over time
	**Check ankle-brachial index (ABI) to rule out vascular claudication
	*Avoid alcohol and strengthen legs to prevent falls
	*Exercise bike or walking recommended with rest when pain comes
	**Pain relieved with forward flexion (walking uphill)
	**Pain worse with extension (walking downhill)
	*Decompressive laminectomy for severe persistent pain
	*Adding spinal fusion to decompression improves outcome
	*Even with surgery, symptoms may reoccur in a few years


	==Clinical Features==		==Clinical Features==
			*Low back pain that gets progressively worse over time
			*Pain relieved with forward flexion (walking uphill)
			*Pain worse with extension (walking downhill)

	==Differential Diagnosis==		==Differential Diagnosis==
			[[File:Back_Pain.png\|thumb\|Differential diagnosis of back pain]]
			{{Lower back pain DDX}}

	==Evaluation==		==Evaluation==
			*Check ankle-brachial index (ABI) to rule out vascular claudication

	==Management==		==Management==
			*Avoid alcohol and strengthen legs to prevent falls
			*Exercise bike or walking recommended with rest when pain comes
			*Pain control

	==Disposition==		==Disposition==
			*If no [[cauda equina]] and pain controlled --> outpatient
			*As outpatient, can consider referral for decompressive laminectomy for severe persistent pain

	==See Also==		==See Also==

2017-10-29T05:02:47Z

← Revisión anterior		Revisión del 05:02 29 oct 2017
Línea 1:		Línea 1:
	==Background==		==Background==
			*Low back pain that gets progressively worse over time
			**Check ankle-brachial index (ABI) to rule out vascular claudication
			*Avoid alcohol and strengthen legs to prevent falls
			*Exercise bike or walking recommended with rest when pain comes
			**Pain relieved with forward flexion (walking uphill)
			**Pain worse with extension (walking downhill)
			*Decompressive laminectomy for severe persistent pain
			*Adding spinal fusion to decompression improves outcome
			*Even with surgery, symptoms may reoccur in a few years

2017-10-29T05:02:12Z

2017-10-29T05:01:54Z

2015-05-12T11:56:33Z

Redirected page to Disc disease

2015-04-24T00:02:17Z

Redirected page to Disc Disease

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#REDIRECT[[Disc Disease]]